Provider Demographics
NPI:1275862880
Name:MEDLINK HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:MEDLINK HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:ABIOLA
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-721-7997
Mailing Address - Street 1:21130 GRANITE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-6593
Mailing Address - Country:US
Mailing Address - Phone:832-721-7997
Mailing Address - Fax:
Practice Address - Street 1:21130 GRANITE TRAIL LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-6593
Practice Address - Country:US
Practice Address - Phone:832-721-7997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health